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General NPI Number Information
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NPI Number | 1528098290
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Entity Type | Organization
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Legal Business Name | GEORGIA EMERGENCY ASSOCIATES
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 5629 HWY. 21 SOUTH
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City | RINCON
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State | GA
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Zip | 31326-9416
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Country | US
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Telephone | 912-295-2133
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Fax | 912-428-5055
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Provider Business Mailing Address
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Address Line | 5629 HWY. 21 SOUTH
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City | RINCON
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State | GA
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Zip | 31326-9416
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Country | US
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Telephone | 912-295-2133
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Fax | 912-428-5055
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ANGELA M. CASPER
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Credential |
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Telephone | 912-295-2133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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